HomeMy WebLinkAboutBuilding 02-0310
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
:J-/4-(j2-
Date Rec' d
I. White File I PERMIT NO I
2. Pink City .0'1 .. 0'31 0
3. Yellow Applicant (.,.
ZONING (office use)
/2/5[)
/ ~ 10 Z- t..-/it::-e5106
/}i/(3/11U6 56
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION t-A/43C; 106 .PA~
PID 25-09~-O2-8--0
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
~
N\Q ( t'CC
llo\o ~ ~W'l&t
TYPE OF WORK
New Construction
ODeck
o Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
o Porch
ORe-Roofing
ORe-Siding
OAddition
o Alteration
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte plans. I am aware that the build' g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u the p.'~operty to perform n eded' spections. l
X II ~)/ \,-\ 0 ,)
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Becomes Your Building Permit When Approved
3- Zo-(j 2-
Date
Contractor's License No.
Date
Park Support Fee
SAC
#
.......
Water Meter
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
Date
+;,-571.;3
-1--0z-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the CitY. Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~*~ 1-/!3IP'L ~ ~ C~t&1b1
nning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
The ("enter of th~ Lakf Country
()~ -03/0
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I:::: E 6/\/ C Y; lei (!/-f HIZU ~ I~/;-I ZI f1
---:;.' / 4- r.~)
,-'/ .- - u L.-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//(P/02 L./l'ct:: . (It.JE=- I) t.'e .:s C
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ'f}3
Date: Lf-.J-o~
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
Tht> Cenlf'r or fhr t.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
j:66N6Y; lC/elfA1ZO ~ 1111019
3-/4-- 02-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(/;/02 LA~S/06 /lVe 56
Accepted
'X.
Accepted With Corrections
Denied ~
Reviewed By: Rf.
~j Jp ailC4!hJ 1tJ-~
Date: 3- 2C:. -08-
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
The ('entef of Ihe L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ,"".' ...
(~ t:_,
,) , .
~/
!
i
,
,/.I'! / .
, ' " i__...,/
/ i.'.I . l.ri'
,/.
...-,.~-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ I .
Accepted
Accepted With Corrections
~
Denied
Date:
Y/2-/o2-
Reviewed By:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
t- 1/' "2-
; ~~~~w ~\;~. I PERMIT NO. 02-0:'101
3. Gold Applicant. ~ .
ZONING (office use)
/6- 10 2- ~~..5" I ~-c /11/6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25" -ti~ -
-0
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) PO,qvS,r.:;--u:- *' #&)'l/Il/l5;J
(Phone)
4-4- 7 ..$ fY ?--
(Address)
(Address)
(City)
(Zip Code)
PLICANT SIGNATURE
TE
t?-\ \- 0'1-
APPLI ANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line _ feet.
Clean out (if required) located at _ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39,50 minimum
$17.50 Water connection only $17.50
02. - &JIO tJ
50 8~ '
1
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
~ h-I/---OL----
Building Official Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
o.
II .--- ()-z.-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ;~:w ~i~icant I PERMIT NO.O.}_3 /0 I
~ (Q \O-a
lA~s~&e A~ I ~\O( LkJ IJJJJ
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(PhOne)~~a 44.0 \q ~~
~lC9 --3
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANTSIGNA-TURE
;PATE
o~
APPLICAN P
NEW CO"~JRUCTION
FURNACE MAKE AND MODEL lj)._ \\\ e.r
FLUE SIZE RETURN OPENINGS
'I'YNOF SYSTEM
ASE COMPLETE BELOW
o REPLACEMENT 0 AL TERA TIONS
FUEL
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
I'"
.50
c~
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
(Office Use Only)
Building Official
Date
BY.L
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~::n ~~~. I PERMIT NOL2'") - ?/ 0 I
3. Yellow Applicant OL ~ .
} lp l Od l,-kE?~ {
\t.~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
.,. r
f~ I C \'\(1 f c-V ---Co tv\ cl {' \ C{
1((' ef\ e-C1
(Phone) 1 S ,j. q<-f 0 [(:7 3 L~
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
APPLICANT SIGNATURE
~NEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL S
APPLICANT PLEASE COMPLETE BELOW
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
.50
J
t>'ci
~\
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Date
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE PLUMBING PER.\fIT
Date Rec'd
0P'tut rype 01 rmat aad II. at bollOlIlI)
ADDRESS
I \ Co \O~ LQk~\ch \=\\Xl_ ~L.
~:~ ~:.~ jpERMIT NO. ;7- ~/O 1,
J v.llo", ",,11""1 ~ r_.
I r ZONING (.)rlicr 'Ilt) I
---.J L.... -...J
I LEGAL DESClUPTION (otrice Uff! only)
I LOT BLOCK ADDmON
:
i ~:'e~R \Aim().,d ~'{
(Address) lLD I D d. Lo,,'\<JV~'); do- AuQ _ ~ z.
PIO
.~~
~\ i ur LoJ.J2.
(Phone) l.\\J..G- \q~~_,_____1
I
I [Contact Pet'!on)
I
I APPLICANT SIGNATURE
(Phone) q-S;) . qLli- 10 I ~s.-j' ---1
~r\QrluV~ S'5 3 ;J __
(City) (lip Code)
(Phon<:) QS,} -l( lJ ) - 'u "7 .3''"'__
/ / j'3jO 3
DATE
Quantity
, '
..,
~-
l
I
t==
FEE SCHEDULE
job eO'l with a S39,50 minimum Residential. Ne..... One & Two-hunil> $9',UO
Residenllal, Additions & Alleratlom $)q SO
Building Permit #
;~'
(Omef USf Only)
PLUMBING PERMIT FEE $
STATESURCHAROE S
TOTAL PERMIT FEE $
.50
This ApplicAtion BKoUlu Your BUild'., Permit When Approv
8ul/dlne OMc181
Dare
Receipt No.
--I
~
14 hour nctrlce far _.. In.pectto'J (951
8y_
t
--'---:;:;':':;;;.:.:;1
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with 31Jilding Permit Application)
For All Properties Located in the Shoreland District (SD).
TIle ivfaximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address ! ~ i 0 Z t--.2 1< "C5/ J \:"" A V c Ilue / ;":"-1(1 f t<a I<c, I)Ij J1I
/ /
Lot Area 2 0 ~ 9~~, .~ s~ Sq. Feet X 30% == .............. ~ I! 8, r;
**~*******~**~*****************************.***********.**~************~
HOUSE
LENGTH
;: 1'1'r.) i/ /z,r
ATTACHED G,A..RAGE
WlDlli
SQ. FEET
= /l)zs.'17
x
x
=
J..NCji//2/r X 1;f!i{'7~
TOTAL PRINCIPLE STRUCTURE...,...............,.. 2 C; 0 e :2- ~
DETACHED BLOGS
(Garage/Shed)
x
X
TOT AL DETACHED BUILDL'iGS....................... '-- {; ._
DRIVEWA YIP A YED AREAS J:,I'fCji//Lf
(Driveway-paved or no:)
(Sidewalk/Parking Ar::J..S)
x
== /'1&'1 t(~
x
X
==
==
TOTAL P A YED AREAS...................................,..... / ~ (; bf I if 8
P A TIOSfPORCHESIDECKS ):.1' r-c 5 vier
(OpC;1 DecKs '1.- rr,in. o;;cnil1Z bC~~:1
cOMds, with a pc....,ioL:s surwe: c::!ow,
J.r: not cor,sid:r::d to b: imp::r'iou>) J rrCj Ii 1(",
]:...rrcj:/lu~
X &.clf- P~h.> == 197,)' 2.
X ==
I<cz~ r'2 f.J() Z Z 7. S'v
X Ve;~?-'lclfi == if d. 9 2-
TOTAL DECKS............................................._......... ~ S 8 _ C; 'i
OitiEK
x
X
==
==
R ~()-
TOT A.L OTill ......._...... ._.___..............................
TOTAL IMPERVIOUS SURFACE [ 5'7, ( Gt;" I
UNDER/OVER [ i.f () c, .1iJ
Prepared By Jl/ev. f1 13 ct1~O /)
Company J2MC7 A. - H /10 t/l c
Date 3/t (/O?
Phone # 95-2-070- f:vo'i!!
PRIOR LAKE DEPARTMENT OF
- BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS lYO? Laks,tQo ~.
NATURE OF WORK IJru..:J
USE OF BUILDING ~
PERMIT NO. 0 DATE ISSUED
CONTRACTOR PHONEJtM -llf~7 -
NOTE: THIS IS NOT A MIT FOR ANY OF THE INSPECtiONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ I t/{?IO~ I.
I FOUNDATION (Prior to Backflll)f~';' I ~ '1/ / o;~ v f~ 4. i!~~z, ~,5NPl--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
SEWE I WATER I SEPTIC
ING ~ W
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) ~
FIREPLACE
GAS LINE AIR TEST Mo.,,^- (lIJ /0- k
,i{ I u'U,) l,kt) 11/'('
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~~ I I
FINALS
GRADING Prior to Soddin
BUILDING ~ I L ,~. ~
ELECTRICAL ~
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all Inspections hav~ ';'eer' approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850